The relationship between the joint hypermobility and the subacromial impingement syndrome and the adhesive capsulitis of the shoulder

Abstract

OBJECTIVE:Joint hypermobility (JH) is a clinical condition in which the joints move beyond the expected physiological range of motion. JH can be accompanied by many musculoskeletal complaints. One of the common causes of musculoskeletal pain is shoulder pain. The aim of this study was to investigate the relationship between subacromial impingement syndrome (SAIS), shoulder adhesive capsulitis (AC), and JH in patients with shoulder pain.METHODS:Patients aged between 18 and 70 years who presented at the physical medicine and rehabilitation outpatient clinic and who were diagnosed with SAIS or AC in a clinical and physical examination were included in the study. Patients in the same age group without musculoskeletal system pain were included in a control group. All of the cases were assessed for hypermobility using the Beighton score for generalized joint hypermobility (GJH), and the revised 1998 Brighton criteria for benign joint hypermobility syndrome (BJHS).RESULTS:Of the 124 cases included in the study, 71 (57.3%) were female and 53 (42.7%) were male. There was no case of GJH in the AC group. There were 2 (4.50%) cases in the SAIS group and 3 (7.5%) in the control group. BJHS was found in 4 (10%) cases in the AC group, 6 (13.63%) in the SAIS group, and 2 (5%) cases in the control group. There was no statistically significant difference between groups in terms of JH (p>0.05). The Beighton scores of the AC group were statistically lower those of the control group (p<0.05).CONCLUSION:The results of this study indicated no significant difference between the SAIS group, the AC group, and the control group in terms of GJH and BJHS. The fact that Beighton scores were lower in the AC group than in the control group suggests that the probability of developing AC in those with JH may be lower.

Impingement on the internet: evaluating the quality and readability of online subacromial impingement information

“… 1 2 Of this, subacromial impingement syndrome (SAIS) is believed to account for the most common cause. 3 SAIS broadly refers to the painful entrapment of soft tissues, (often the subacromial bursa, supraspinatus muscle or portions of the bicipital tendon), between the humeral head and coracoacromial arch, that in particular occurs during elevation of the arm and potentially in the absence of preceding trauma. 2 4 The model of soft-tissue impingement is a common hypothesis for chronic, mechanical shoulder pain, and is thought to be chiefly driven by the repetitive mechanical conflict of various structures of the shoulder joint.…”